OFFICE OF GLOBAL HEALTH AFFAIRS PROGRAM GUIDELINES. for

OFFICE OF GLOBAL HEALTH AFFAIRS PROGRAM GUIDELINES for NON-COMPETITIVE CONTINUATION APPLICATION UNITED STATES-MÉXICO BORDER HEALTH COMMISSION BORDER HEALTH IMPROVEMENT INITIATIVE under the SINGLE ELIGIBILITY COOPERATIVE AGREEMENT with THE STATES OF ARIZONA, CALIFORNIA, NEW MEXICO AND TEXAS Arizona - GHSGH080014-02 California - GHSGH080013-02 New Mexico -GHSGH080011-02 Texas - GHSGH080012-02 June 11, 2009 1

Program Guidelines for Continuing the United States-México Border Health Commission Border Health Improvement Initiative Under the Single Eligibility Cooperative Agreement with the States of Arizona, California, New Mexico and Texas Arizona - GHSGH080014-02 California - GHSGH080013-02 New Mexico -GHSGH080011-02 Texas - GHSGH080012-02 Program Guidelines have been prepared to assist the Arizona Department of Health Services/Arizona Outreach Office or Office of Border Health; the California Department of Public Health/California Outreach Office or California Office of Binational Border Health; the New Mexico Department of Health/New Mexico Outreach Office or Office of Border Health; and the Texas Department of Health/Texas Outreach Office or Office of Border Health to strengthen public health services at the United States México Border in the preparation of a non-competing continuation application for the United States-México Border Health Commission (USMBHC) Border Health Improvement Initiative. The recommended format for organizing and submitting the continuation application is provided below. I. APPLICATION FORMAT The applicants must utilize Grant Application Form OPHS-1 when preparing the application for the United States-México Border Health Commission Border Health Improvement Initiative. The grant number, name of the grantee organization, address, telephone number, name of the Project Director, and the name of the preparer should be provided at the top of the page. The Year 02 combined funding level for this project is $1,350,000. Specific limits per each required or optional activities are provided where indicated. The Program Proposal consists of two sections: Program Narrative and Program Plan. The Program Narrative guidelines found in Grant Application Form OPHS-1, page 19-20, should be used to describe the overall design of the project, but should not duplicate what is described in the Program Plan. The Program Plan, described below, should be used to describe the specific plan for the required and optional activities proposed to be carried out by each of the grantees 2

during Year 02 of the project period. The applicants are required to submit an original, signed in blue ink and dated application and two photocopies. All pages must be numbered clearly and sequentially beginning with the Face Page (SF 424). The application should be typed double-spaced on one side of plain 8.5" x 11" white paper, no smaller than 12-point font, with 1" margins. The original and each copy must be unstapled and unbound. A large binder clip or rubber band can be used to secure the documents. The original and two copies of the application must be submitted to Karen Campbell, Director, OPHS Grants Management Office, Tower Building, 5 th Floor, 1101 Wootton Parkway, Suite 550, Rockville, Maryland 20852 by July 20, 2009. Submission through GrantSolutions.Gov is optional and only one means of submission is necessary. II. PROGRAM PLAN FOR PROJECT YEAR 02 (Period covering September 1, 2009 to August 31, 2010) REQUIRED INFORMATION FOR EACH OF THE REQUIRED AND OPTIONAL ACTIVITIES 1. Target Population: Describe the target population or target group impacted by this activity. 2. Plan: Enumerate the program objectives and activities to be conducted with target dates, the methods to be used to plan and conduct the activities, and anticipated outcomes and other results to be achieved from these activities. Program/project activities and their outcomes and other results must be clearly linked to the objectives. The description should encompass information about how, when, for whom, by whom, and where the activities will be conducted. Clearly describe the role(s) of relevant staff and any collaborators or subcontracts, and how they will interact to fulfill the goal(s) and objectives of the program. 3. Evaluation/Data: Describe efforts already underway or to be undertaken to implement 3

evaluation plans for the Year 02. Include the kinds of performance indicators that are being or will be used to measure and monitor progress towards achieving the intended outcomes, type of evaluation methods and tools to be utilized, and staff responsible for planning and implementing evaluation activities. Identify which staff has been and will be responsible for continued evaluation planning and implementation activities. In the application appendices, provide examples of data collection instruments being or to be used. Include information on site-visits or planning meetings convened to share plans with relevant staff at project sites in order to evaluate feasibility and discuss issues or concerns. 4. Management Plan: Describe duties, reporting channels, requisite qualifications, and related experience of personnel who will be responsible for carrying out the project, including key community collaborators or other agency stakeholders involved in supporting the specific activities. 5. Appendices: Include supplementary information as appropriate (e.g., time line, evaluation tools, and tracking instruments used in the project and its activities). REQUIRED COMPREHENSIVE ACTIVITIES 1. Each awardee must plan, coordinate, and execute local and regional activities or events for the USMBHC s celebration of Border Binational Health Week (BBHW) for October 2009 and provide for planning of program activities for Border Binational Health Week 2010 [Funding limit is up to the amount specified, Arizona-$120,000; California-$60,000; New Mexico-$60,000; Texas-$240,000]. Events must focus on the identified priorities of the USMBHC (must include focus on obesity and diabetes as a minimum during BBHW 2009), include binational plans in coordination with the relevant México Section Outreach Offices (OROs) and regional binational health councils. The awardee(s) must also plan and create activities in close coordination with other Mexican State officials, the Mexican Federal Secretariat of Health, and the HHS/OGHA. This work should include the following: 4

The execution of joint or complementary binational activities to maximize the impact of Border Binational Health Week in October 2009; Participation in all BBHW monthly conference calls or other conference calls or meetings as may be necessary that insures the sharing of information with partners on a regular basis; Insuring that all BBHW sub-contractors participate in the specified monthly conference calls and share information for posting on the USMBHC s website; The regular updating of information for posting on the USMBHC website that includes completion of required matrices of planned activities; The tracking of changes and the finalization of proposed activities; The submission to HHS/OGHA of a state consolidated BBHW Questionnaire report (final report format to be provided) of data as to activities conducted, persons participating and those served and the number of key partners involved, among other required data, in compliance with Office of Management and Budget (OMB) requests on Border Health Commission s performance measures. This initial draft report is due 15 days after the end of Border Binational Health Week but not later than October 30, 2009; Each awardee will submit a draft comprehensive report on all activities/events conducted during Border Binational Health Week, including related health-diplomacy events. This report must include an evaluation of the quantity and quality of the activities developed during Binational Border Health Week. Selected content of this report will be part of the USMBHC s newsletter, as well as the USMBHC Annual Report, and will support binational healthdiplomacy and leadership initiatives; Development of coordinated and binational plans proposed for the celebration of Border Binational Health Week 2010 and presentation of those plans during the annual Outreach Office meeting in 2010. 5

This report should be a compilation of all plans submitted by subcontractors funded during this period for this activity. 2. Each awardee must plan, coordinate, and execute local and regional activities or events for the USMBHC s celebration of National Infant Immunization Week/Vaccination Week in the Americas (NIIW/VWA) in 2010 [Funding limit is up to $25,000 per state]. The awardee(s) must plan and create activities in close coordination with the México Section Outreach Offices and other Mexican State officials, the Mexican Federal Secretariat of Health, and the HHS/OGHA. This work should include the following: The execution of joint or complementary binational activities to maximize the impact of NIIW/VWA in April 2010; Participation in all NIIW/VWA monthly conference calls or other conference calls or meetings as may be necessary that insures the sharing of information with partners on a regular basis; Insuring that all NIIW/VWA sub-contractors participate in the specified monthly conference calls and share information for posting on the USMBHC s website; The regular updating of information for posting on the USMBHC website, that includes completion of required matrices of planned activities; The tracking of changes and the finalization of proposed activities; Each awardee must submit a draft comprehensive report on all activities/events conducted during National Infant Immunization Week/Vaccination Week in the Americas 2010 (NIIW/VWA). This report must include an evaluation of the quantity and quality of the activities developed and sponsored. Selected content of this report will be part of the USMBHC s newsletter, as well as the USMBHC Annual Report, and will support binational health-diplomacy and leadership initiatives. 6

OPTIONAL AWARDEE ACTIVITIES BY USMBHC PRIORITY AREA All activities under these Cooperative Agreements support the strategic directions and related activities of the USMBHC. Comprehensive Activities 1. Work jointly with existing partners to support the expansion of the Border Health Diplomacy Leadership Institute. Plan, coordinate and provide leadership training opportunities for at least twelve (12) participants, that may include U.S. and México Section members (first priority), U.S. State Health Officers or other key department of health leadership staff involved in the oversight of border health activities, U.S. or México Section member delegates, local health department directors or directors of health jurisdictions in México, or others as approved by HHS/OGHA. This leadership training activity should be coordinated with and conducted in partnership with existing HHS approved and funded public health leadership training centers in the border region. The awardee must coordinate the proposed agenda for the leadership training in conjunction with the USMBHC s Program, Planning and Evaluation Committee and the HHS/OGHA. The awardee must complete a draft report at the end of each leadership training cycle (annual as a minimum). The awardee must also prepare a draft white paper on the issue of leadership capacity and development along the border and include appropriate recommendations for the enhancement of such leadership opportunities and overall leadership capacity development. [Funding limit is up to $75,000.] 2. Conduct the Second Bi-annual Binational Health Councils Strategic Planning Summit that insures binational community input on existing USMBHC initiatives and priorities and identifies proposed future priorities for BHC action. Requirements will include all administrative and logistical support for the summit; including operational actions such as sending out invitations; providing for simultaneous interpretation and the translation of materials; securing meeting facilities and providing logistical support to identified participants. Awardee must complete a draft report on the objectives and results of the summit. The awardee 7

must develop the agenda for the summit in conjunction with the USMBHC s Communication and Outreach Work Group and the HHS/OGHA. [Funding limit is up to $60,000.] 3. Complete a comprehensive Healthy Border 2010/2020 Strategic Plan that details the required technical and operational planning and coordination activities that will initiate the closure of the USMBHC s activities for Healthy Border 2010 and further leads to the development and implementation of the USMBHC s Healthy Border 2020 initiative. This comprehensive plan must be drafted in coordination with the USMBHC s Border Health Research Work Group and Expert Panel and the HHS/OGHA and may also include a specific technical team of other subject matter experts from Federal, state and private entities. The final draft plan must be submitted to HHS/OGHA not later than June 30, 2010. [Funding limit is up to $30,000.] 4. Conduct the primary inaugural events for National Infant Immunization Week/Vaccination Week in the Americas (NIIW/VWA). Awardee must plan, coordinate and execute the USMBHC s primary activities and events for the National Infant Immunization Week (NIIW)/Vaccination Week of the Americas (VWA) to be held in April 2010. Activities/events must focus on identified priorities of the Commission and be planned in coordination with the Mexico Section OROS as well as with federal agencies such as the Centers for Disease Control and Prevention (CDC), each of the U.S. and México state immunization programs and the Pan American Health Organization (PAHO) El Paso Border Health Office. Awardee must complete a draft report on the specified activities/events held during that week. This report is to include a section on evaluation of the quantity and quality of the events and their potential public health impact (how many communities reached) to comply with Border Health Commission performance measures as required by Office of Management and Budget. Selected content of this report will be used for inclusion in the next scheduled Border Health Commission newsletter and annual report. [Funding limit is up to $25,000.] 8

5. Coordinate the next phase of work for the U.S.-México Lead Work Group that insures the development of binational consensus for the publication of a binational report on lead in candy and ceramics. Awardee will complete a draft report on the technical merits and options for completion of a binational report on lead. [Funding limit is up to $25,000.] Tuberculosis 6. Establish a U.S.-México Border Tuberculosis Consortium that will provide a supporting mechanism for binational and borderwide efforts among the ten Border States, Federal partners and local health departments on binational tuberculosis issues, and that insures specific emphasis on TB education and prevention efforts that addresses mutual interests and issues around tuberculosis. The awardee must plan, coordinate and conduct the initial annual meeting of the Consortium. Requirements will include all administrative and logistical support for the annual meeting; including operational actions such as sending out invitations; providing for simultaneous interpretation and the translation of materials; securing meeting facilities and providing logistical support to identified participants. The awardee must complete a draft report on the objectives and outcomes of the meeting. The meeting should take place on March 24, 2010, World TB Day 2010. The awardee must develop the agenda for the meeting in conjunction with the USMBHC s Program, Planning and Evaluation Committee and the HHS/OGHA. The awardee must also coordinate the update of the USMBHC s Border TB white paper that may include the final outcomes and recommendations of the meeting within 60 days of the clearance of the report on the annual meeting. The draft white paper must be a product of the joint work of the awardee, the Centers for Disease Control and Prevention and other key subject matter experts that may be identified by the committee or HHS/OGHA. [Funding limit is up to $100,000.] 7. Plan and develop a New Mexico-Chihuahua Tuberculosis Pilot Project that serves to provide an analysis of the existing binational TB projects and clearly documents the lessons learned in the management of U.S.-México border region 9

binational TB projects. The awardee must complete a draft report at the end of the initial year of the project. [Funding limit is up to $70,000.] 8. Plan and conduct a Binational Tuberculosis Legal Forum that continues the work of the previous U.S. and México forums conducted in 2007-2008 and clearly documents the key issues and solutions impacting on the local, State and Federal challenges around the management of binational TB cases. Requirements will include all administrative and logistical support for the Forum; including operational actions such as sending out invitations; providing for simultaneous interpretation and the translation of materials; securing meeting facilities and providing logistical support to identified participants; and completing a draft report on the Forum. The awardee must develop the agenda for the Forum in conjunction with the USMBHC s Program Planning and Evaluation Committee; other identified interagency tuberculosis work groups and the HHS/OGHA. The awardee must complete a draft white paper on binational TB legal issues that may include the final outcomes and recommendations of the Forum. [Funding limit is up to $75,000.] 9. Plan and conduct the Border Tuberculosis Models of Excellence project that works to identify successful TB education, prevention, and case management projects in the border region. Requirements will include all administrative and logistical support for the project; including operational actions such as announcing the competitive process for identification of the models of excellence; providing for review of the submitted proposals; selection of the winners for both the U.S. and México; and providing for a one-day awards forum for presentation of the winning projects; providing for simultaneous interpretation and the translation of materials; securing meeting facilities and providing logistical support to identified participants; and completing a draft report on the forum and publish a comprehensive compendium of the selected projects. [Funding limit is up to $50,000.] 10

Obesity and Diabetes 10. Develop a culturally and linguistically appropriate Binational Multi-media Campaign on Obesity and Diabetes aimed at children and youth as recommended by the 2008 Border Governors Conference. The awardee must coordinate the completion of the multi-media campaign package (which should include materials such as posters, brochures, audio and video media) through the coordination of a borderwide and binational work group to insure input from all partners and other U.S. and México federal and state agencies. The draft report of this activity must include a full description of all components of the proposed multi-media campaign, selected drafts of materials, media sources to be used, application of the materials and projected costs for the implementation of the campaign for at least a one year s time frame. [Funding limit is up to $60,000.] 11. Publish a report on the Status of U.S.-México Obesity and Diabetes that focuses on an inventory of existing initiatives and data resources on children and youth. The draft report may be up to 50 pages. The awardee must develop the outline for the report in conjunction with the USMBHC s Border Health Research Work Group and Expert Panel, and the HHS/OGHA. [Funding limit is up to $25,000.] 12. Conduct a U.S.-México Border Obesity and Diabetes Models of Excellence project that works to identify successful obesity/diabetes education, prevention, and case management projects in the border region. Requirements will include all administrative and logistical support for the project; including operational actions such as announcing the competitive process for identification of the models of excellence; providing for review of the submitted proposals; selection of the winners for both the U.S. and México; and providing for a one-day awards forum for presentation of the winning projects; providing for simultaneous interpretation and the translation of materials; securing meeting facilities and providing logistical support to identified participants; and completing a draft report on the Forum and the publication of a comprehensive compendium of the selected projects. [Funding limit is up to $50,000.] 11

Infectious Disease and Public Health Emergencies 13. Plan and conduct the first annual U.S.-México Binational Infectious Disease Conference to provide a forum that brings together Federal, State and local partners to address the critical infectious disease problems impacting the U.S.- México border region that clearly documents the issues or problems and the solutions to address those problems. The conference proceedings and outcomes shall work to support the effective implementation of binational guidelines for epidemiological events and establish linkages to infectious disease research institutions and binational infectious disease programs. Plan, coordinate and conduct the initial conference. Requirements will include all administrative and logistical support for the conference; including operational actions such as sending out invitations; providing for simultaneous interpretation and the translation of materials; securing meeting facilities and providing logistical support to identified participants; and completing a draft report on the objectives and outcomes of the meeting. The awardee must develop the agenda for the meeting in conjunction with the USMBHC s Program, Planning and Evaluation Committee and the HHS/OGHA. The awardee must complete a draft white paper that may include the final outcomes and recommendations of the meeting. The white paper must be a product of the joint work of the key participants at the conference and other key subject matter experts. [Funding limit is up to $125,000.] II. REPORTING REQUIREMENTS Reporting requirements include interim progress and financial reports. Due date(s) for the reports will be consistent with the reporting requirements for Project Year 01. Additional guidance will be provided at a later date. Reporting Format and Guidelines a. The schedule for all Year 02 administrative reports will be published at a later date. b. All activity reports and white papers are to be submitted in draft form to insure review by HHS/OGHA and may include additional review by the appropriate 12

USMBHC committee or work group and the Mexican Secretariat of Health. c. Draft reports and white papers will be returned with comments by HHS/OGHA for final completion by the awardee. d. Other type of activity materials or special reports such as compendiums or media materials shall be completed in accordance with the requirements of the activity and in collaboration with HHS/OGHA. e. Unless otherwise specified, all activity reports are due not more than 30 days after the end of the program activity and are to be no more than 15 pages, singlespace, in Times New Roman font, in 12-point type and 1-inch margins. f. Unless otherwise specified and where required, all white papers are due not more than 60 days after the end of the program activity and are to be no more than 10 pages (including references), single-space, in Times New Roman font, in 12-point type, and 1-inch margins. Required Activities All awardees must comply with the following: 1) Each applicant must submit plans to attend one (1), two-day binational meeting of the U.S. and México Outreach Offices (OROs) during the grant year to share information on major, ongoing activities and accomplishments under these Cooperative Agreements as well as to hear from other partners and experts on their accomplishments and experiences, and to identify additional, potential opportunities for joint activities designed to enhance the impact of these Cooperative Agreements. At least 30 days in advance of the meeting, awardees must submit to HHS/OGHA, copies of their presentations (e.g., summaries of activities or accomplishments; PowerPoint presentations, talking points, abstracts) for review and clearance. Whenever applicable, the HHS/OGHA will pursue clearance channels within the Department for final approval of these materials. Within 15 days after conclusion of the meeting, awardees must also prepare and submit to HHS/OGHA a report on the key outcomes of the meeting and plans for future activities. This report should be no longer than 10 pages, typed in single space, with Times New Roman font, in 12-point type. 13

2) Each awardee must submit plans to comply with additional reporting requirements: a. Submission to HHS/OGHA for review and clearance of at least one (1) draft article for publication in the USMBHC s newsletter each quarter during each 12-month budget period. These articles should be no longer than 5 pages (including references, pictures, and/or charts), typed single space, with Times New Roman font, in 12-point type; b. Submit one (1) comprehensive draft Summary of State outreach activities and accomplishments for the USMBHC s Annual Report not later than October 30 th of each budget year. This summary should be no longer than 500 to 750 words (including references, pictures, and/or charts), typed single space, with Times New Roman font, in 12- point type. 14